Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study
INTRODUCTION: Lateral epicondylitis is a common condition causing severe incapacitating pain. Several methods of treatment have been approached for its management. In our study we aim to compare the results of injecting steroid and lignocaine mixture via single injection and peppered injection techn...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2022-03-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | http://morthoj.org/2022/v16n1/tennis-elbow.pdf |
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| author | Prakash YR Dhanda A Yallapur KL Inamdar SS Darshan GT Ramakrishna M |
| author_facet | Prakash YR Dhanda A Yallapur KL Inamdar SS Darshan GT Ramakrishna M |
| author_sort | Prakash YR |
| collection | DOAJ |
| description | INTRODUCTION: Lateral epicondylitis is a common condition causing severe incapacitating pain. Several methods of treatment have been approached for its management. In our study we aim to compare the results of injecting steroid and lignocaine mixture via single injection and peppered injection technique and analyse the outcome in each category.
MATERIALS AND METHODS: A prospective randomised study comprising of 25 patients in each group (single vs peppered group) were included in the study after satisfying inclusion and exclusion criteria. Outcome of the treatment was measured in the form of Patient Related Tennis Elbow Evaluation (PRTEE) Questionnaire, Visual analogue score (VAS) and tenderness grading at two weeks, six weeks and six months after injection.
RESULTS: Results of our study showed that the mean PRTEE score was 22.36, 18.40 and 14.16 at 2 weeks, 6 weeks and 6 months following peppered injection as compared to 28.96, 21.84 and 25.32 in the single injection group (p value <0.05). VAS score at 2 weeks, 6 weeks and 6 months after the peppered injection was found to be 2.72, 1.72 and 1.36 and in the single injection group was 2.96, 1.92 and 2.72 at 2weeks, 6 weeks and 6 months, respectively (p value <0.05). On comparison of the 2 groups, there was a significant reduction of VAS scores at 6 months post-injection (p value <0.05) and PRTEE score at 6 weeks, 6 months in peppered injection group.
CONCLUSION: The effects of peppered injection technique is seen to be advantageous over the single injection technique in the management of chronic lateral epicondylitis. |
| first_indexed | 2024-12-10T13:15:39Z |
| format | Article |
| id | doaj.art-61e117a148974052ab62a159b3137a58 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-12-10T13:15:39Z |
| publishDate | 2022-03-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-61e117a148974052ab62a159b3137a582022-12-22T01:47:32ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2022-03-01161919610.5704/MOJ.2203.013Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative StudyPrakash YR0Dhanda A1Yallapur KL2Inamdar SS3Darshan GT4Ramakrishna M5MS Orth MS Orth MS Orth MS Orth MS Orth MS Orth INTRODUCTION: Lateral epicondylitis is a common condition causing severe incapacitating pain. Several methods of treatment have been approached for its management. In our study we aim to compare the results of injecting steroid and lignocaine mixture via single injection and peppered injection technique and analyse the outcome in each category. MATERIALS AND METHODS: A prospective randomised study comprising of 25 patients in each group (single vs peppered group) were included in the study after satisfying inclusion and exclusion criteria. Outcome of the treatment was measured in the form of Patient Related Tennis Elbow Evaluation (PRTEE) Questionnaire, Visual analogue score (VAS) and tenderness grading at two weeks, six weeks and six months after injection. RESULTS: Results of our study showed that the mean PRTEE score was 22.36, 18.40 and 14.16 at 2 weeks, 6 weeks and 6 months following peppered injection as compared to 28.96, 21.84 and 25.32 in the single injection group (p value <0.05). VAS score at 2 weeks, 6 weeks and 6 months after the peppered injection was found to be 2.72, 1.72 and 1.36 and in the single injection group was 2.96, 1.92 and 2.72 at 2weeks, 6 weeks and 6 months, respectively (p value <0.05). On comparison of the 2 groups, there was a significant reduction of VAS scores at 6 months post-injection (p value <0.05) and PRTEE score at 6 weeks, 6 months in peppered injection group. CONCLUSION: The effects of peppered injection technique is seen to be advantageous over the single injection technique in the management of chronic lateral epicondylitis. http://morthoj.org/2022/v16n1/tennis-elbow.pdfsingle injection techniquepeppered injection techniqueprteelateral epicondylitis |
| spellingShingle | Prakash YR Dhanda A Yallapur KL Inamdar SS Darshan GT Ramakrishna M Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study Malaysian Orthopaedic Journal single injection technique peppered injection technique prtee lateral epicondylitis |
| title | Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study |
| title_full | Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study |
| title_fullStr | Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study |
| title_full_unstemmed | Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study |
| title_short | Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study |
| title_sort | peppering versus single injection technique in tennis elbow a prospective comparative study |
| topic | single injection technique peppered injection technique prtee lateral epicondylitis |
| url | http://morthoj.org/2022/v16n1/tennis-elbow.pdf |
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